Chapter 11 Pharmacology For Nurses A Pathophysiologic Approach 5th Edition

Chapter 11 Pharmacology For Nurses A Pathophysiologic Approach 5th Edition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCMA

The nurse is teaching the importance of drugs for emergency preparedness to local firemen. The nurse determines that learning has occurred when the firemen make which statements?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. “The vendor-managed inventory (VMI) package can reach any community within 24 to 36 hours.”
2. “Our local hospital is supposed to be stockpiling antibiotics.”
3. “The push package can reach any community within 12 hours of an attack.”
4. “The Strategic National Stockpile is located at the Centers for Disease Control and Prevention (CDC) in Atlanta.”
5. “Our country’s drug stockpile is managed by the Centers for Disease Control and Prevention (CDC).”

Correct Answer: 1,3,5

Rationale 1: The vendor-managed inventory (VMI) package can reach any community within 24 to 36 hours.

Rationale 2: Local hospitals are discouraged from stockpiling antibiotics due to finite expiration dates on the antibiotics.

Rationale 3: The push package can reach any community within 12 hours of an attack.

Rationale 4: The Strategic National Stockpile is located at various sites throughout the country.

Rationale 5: The Strategic National Stockpile is managed by the Centers for Disease Control and Prevention (CDC).

Global Rationale: The Strategic National Stockpile is managed by the Centers for Disease Control and Prevention (CDC). The push package can reach any community within 12 hours of an attack, and the vendor-managed inventory (VMI) package can reach any community within 24 to 36 hours. Local hospitals are discouraged from stockpiling antibiotics due to finite expiration dates on the antibiotics. The Strategic National Stockpile is located at various sites throughout the country.

 

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Pharmacologic and Parenteral Therapies

QSEN Competencies: V.B.2 Demonstrate effective use of strategies to reduce risk of harm to self or others.

AACN Essentials Competencies: VII.9 Use clinical judgement and decision-making skills in appropriate, timely nursing care during disaster, mass casualty and other emergency situation.

NLN Competencies: Context and Environment: Apply evidence to support decision making in situations characterized by ambiguity and uncertainty.

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 11-3 Identify the purpose and components of the Strategic National Stockpile (SNS).

MNL Learning Outcome:

Page Number: 116

 

Question 2

Type: MCMA

The nurse works for the Centers for Disease Control and Prevention (CDC). In planning for a bioterrorist attack, what will the best plan of the nurse include?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. Learn the signs and symptoms of chemical and biological agents.
2. Obtain a listing of health and law enforcement contacts.
3. Assist in the stockpiling of medications.
4. Obtain current knowledge of emergency management.
5. Assist in triage at local hospitals.

Correct Answer: 1,2,4

Rationale 1: The key roles of nurses in meeting the challenge of a potential bioterrorist event include diagnosis and treatment (signs and symptoms of chemical and biological agents).

Rationale 2: The key roles of nurses in meeting the challenge of a potential bioterrorist event include resources (health and law enforcement contacts).

Rationale 3: Stockpiling of medications is discouraged.

Rationale 4: The key roles of nurses in meeting the challenge of a potential bioterrorist event include education (knowledge).

Rationale 5: In a bioterrorist attack, a nurse from the Centers for Disease Control and Prevention (CDC) would have a broader role than assisting local hospitals with triage.

Global Rationale: The key roles of nurses in meeting the challenge of a potential bioterrorist event include education (knowledge), resources (health and law enforcement contacts), and diagnosis and treatment (signs and symptoms of chemical and biological agents). Stockpiling of medications is discouraged. In a bioterrorist attack, a nurse from the Centers for Disease Control and Prevention (CDC) would have a broader role than assisting local hospitals with triage.

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacologic and Parenteral Therapies

QSEN Competencies: V.B.2 Demonstrate effective use of strategies to reduce risk of harm to self or others.

AACN Essentials Competencies: VII.9 Use clinical judgement and decision-making skills in appropriate, timely nursing care during disaster, mass casualty and other emergency situation.

NLN Competencies: Context and Environment: Apply evidence to support decision making in situations characterized by ambiguity and uncertainty.

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 11-2 Discuss the role of the nurse in preparing for and responding to worldwide epidemics and bioterrorist activity.

MNL Learning Outcome:

Page Number: 116

 

Question 3

Type: MCSA

The patient comes to the emergency department with an anxiety attack. He tells the nurse he heard that there was another anthrax attack in the capitol and is concerned about running out of medications. What is the best response by the nurse?

1. “You don’t need to worry about another attack at all; I think our government can take care of us.”
2. “Your health is in danger due to the anxiety; we really need to focus on reducing your anxiety now.”
3. “The Centers for Disease Control and Prevention (CDC) maintains a large stockpile of medications for us in case that occurs.”
4. “I’m sure the Centers for Disease Control and Prevention (CDC) has contingency plans in the event of an anthrax attack.”

Correct Answer: 3

Rationale 1: Telling the patient not to worry is a nonspecific and patronizing response.

Rationale 2: Reducing anxiety is important, but this response does not answer the patient’s concern.

Rationale 3: The Centers for Disease Control and Prevention (CDC) maintains a stockpile of antibiotics, vaccines, medical/surgical supplies, and other patient-support supplies in the event of a bioterrorist attack.

Rationale 4: Telling the patient that the Centers for Disease Control and Prevention (CDC) has contingency plans is too vague and nonspecific.

Global Rationale: The Centers for Disease Control and Prevention (CDC) maintains a stockpile of antibiotics, vaccines, medical/surgical supplies, and other patient-support supplies in the event of a bioterrorist attack. Telling the patient not to worry is a nonspecific and patronizing response. Reducing anxiety is important, but this response does not answer the patient’s concern. Telling the patient that the Centers for Disease Control and Prevention (CDC) has contingency plans is too vague and nonspecific.

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacologic and Parenteral Therapies

QSEN Competencies: V.B.2 Demonstrate effective use of strategies to reduce risk of harm to self or others.

AACN Essentials Competencies: VII.9 Use clinical judgement and decision-making skills in appropriate, timely nursing care during disaster, mass casualty and other emergency situation.

NLN Competencies: Context and Environment: Apply evidence to support decision making in situations characterized by ambiguity and uncertainty.

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 11-2 Discuss the role of the nurse in preparing for and responding to worldwide epidemics and bioterrorist activity.

MNL Learning Outcome:

Page Number: 115

 

Question 4

Type: MCSA

The nurse is teaching a class on anthrax to a group of emergency response workers. What is the best instruction to include?

1. Anthrax is a deadly bacterium; the most common and deadly form is gastrointestinal anthrax.
2. Cutaneous anthrax is the most common form, but inhaled anthrax is the most lethal form.
3. Anthrax most commonly affects wild rodents such as mice, rats, squirrels, and chipmunks.
4. Cutaneous anthrax is serious because it quickly spreads by person-to-person contact.

Correct Answer: 2

Rationale 1: Gastrointestinal anthrax is a rare form of anthrax.

Rationale 2: Cutaneous anthrax is the most common, but inhalation anthrax is the most dangerous form of anthrax.

Rationale 3: Anthrax most commonly affects hoofed animals such as cattle, sheep, and horses.

Rationale 4: Cutaneous anthrax cannot be spread by person-to-person contact.

Global Rationale: Cutaneous anthrax is the most common, but least complicated, form of anthrax. Inhalation anthrax is the least common, but most dangerous, form of anthrax. Gastrointestinal anthrax is a rare form of anthrax. Anthrax most commonly affects hoofed animals such as cattle, sheep, and horses. Cutaneous anthrax cannot be spread by person-to-person contact.

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacologic and Parenteral Therapies

QSEN Competencies: V.B.2 Demonstrate effective use of strategies to reduce risk of harm to self or others.

AACN Essentials Competencies: VII.9 Use clinical judgement and decision-making skills in appropriate, timely nursing care during disaster, mass casualty and other emergency situation.

NLN Competencies: Context and Environment: Apply evidence to support decision making in situations characterized by ambiguity and uncertainty.

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 11-4 Identify specific agents that would likely be used in a bioterrorist attack.

MNL Learning Outcome:

Page Number: 117